A shunting procedure employing cannulation of the lumbar theca through the meningocele sac.
An alternative thecoperitoneal shunting procedure is described to counter the problem of cerebrospinal fluid (CSF) fistula following surgery for meningocele and related conditions. The lumbar end of the shunt traverses the meningocele sac. The procedure was effectively employed to deal with postoperative CSF fistula in two cases operated on earlier for lipomeningomyelocele.
Goel
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Department of Neurosurgery, Seth G.S. Medical College & K.E.M. Hospital, Parel, Bombay, India.
D002404:Catheterization; D002555:Cerebrospinal Fluid; D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D002648:Child; D005260:Female; D005402:Fistula / Q000517:prevention & control*; D006801:Humans; D008161:Lumbosacral Region; D008588:Meningocele / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*